License Search: Details

Name	Title	Primary Practice Location	Licensed Or Has Been Licensed In
Kelly Paul Cummings	PA-C		No other states on file

License History

License Type	License Number	Status	License Date	Expiration Date
Physician Assistant	388	Expired	05/28/1991	05/27/2007

Education History

School	Date Completed	Nature of Training
Alderson Broaddus College	05/13/1990	Physician Assistant School

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Probation of License	5/15/1991	Consent Order
Yes	Suspension of License	9/27/1993	Consent Order
Yes	Probation of License	3/24/1994	Consent Order

Malpractice History

No Malpractice Cases On Record

Current Authorizations to Practice

Collaborating Physician	Authorized to Practice	Authorized to Prescribe	Primary Work Location	Designated Alternate Supervisor(s)

This data was retrieved on 5/22/2025.